UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000061261
Receipt number R000070093
Scientific Title Analysis of background factors and hemodynamics in pipeline esophageal varices and database construction
Date of disclosure of the study information 2026/04/14
Last modified on 2026/04/14 20:02:26

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Basic information

Public title

Analysis of background factors and hemodynamics in pipeline esophageal varices and database construction

Acronym

PEV-Study (Pipeline Esophageal Varices Study)

Scientific Title

Analysis of background factors and hemodynamics in pipeline esophageal varices and database construction

Scientific Title:Acronym

PEV-Study (Pipeline Esophageal Varices Study)

Region

Japan


Condition

Condition

Pipeline esophageal varices

Classification by specialty

Gastroenterology Hepato-biliary-pancreatic medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

This multicenter retrospective cohort study aims to clarify the clinical characteristics and hemodynamic features of pipeline esophageal varices, a rare subtype of esophageal varices. Clinical data, including patient background, hemodynamic findings, and treatment modalities, will be collected and analyzed from multiple institutions. In addition, a database will be established based on these data to generate findings that may contribute to the development of appropriate management strategies for pipeline esophageal varices.

Basic objectives2

Others

Basic objectives -Others

To evaluate the clinical characteristics of patients with pipeline esophageal varices.
To assess the hemodynamic features of pipeline esophageal varices.
To investigate treatment modalities for pipeline esophageal varices.
To analyze overall survival in patients with pipeline esophageal varices.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Hemodynamic findings at the time of diagnosis of pipeline esophageal varices
(assessed by contrast-enhanced CT and/or EVIS images, including the maximum short diameter of the esophageal varix, type of feeding vessel [left gastric vein, posterior gastric vein, or short gastric vein], maximum short diameter of the feeding vessel, maximum short diameter of the splenic vein, and presence of portosystemic shunts)

Key secondary outcomes

1. Patient background characteristics and clinical findings at the time of diagnosis of pipeline esophageal varices
(age, sex, BMI, alcohol history, smoking history, previous treatment for esophageal varices, history of HCC treatment, and survival status)
2. Laboratory findings at the time of diagnosis of pipeline esophageal varices
(white blood cell count, hemoglobin, platelet count, total protein, albumin, AST, ALT, ALP, gamma-GTP, BUN, creatinine, PT, PT-INR, D-dimer, FDP, AT-III, ammonia, antinuclear antibody, antimitochondrial antibody, antimitochondrial M2 antibody, hyaluronic acid, type IV collagen 4S, and M2BPGi)
3. Endoscopic findings at the time of diagnosis of pipeline esophageal varices
(location, presence of gastric varices, continuity/communication with esophageal varices, form, and presence of red color signs)
4. Treatment modalities for pipeline esophageal varices
(endoscopic treatment, medical treatment, IVR, and surgical treatment)
5. Overall survival
(from the date of diagnosis of pipeline esophageal varices to the date of last confirmed survival or death)


Base

Study type

Others,meta-analysis etc


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients diagnosed with pipeline esophageal varices at participating institutions between January 1, 2000 and October 31, 2025
For the control group, patients who underwent endoscopic treatment for conventional esophageal varices at Yamagata University Hospital during the same period
No age restriction

Key exclusion criteria

Patients who declined participation via the opt-out procedure

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Hiroaki
Middle name
Last name Haga

Organization

Yamagata University

Division name

Department of Gastroenterology

Zip code

990-9585

Address

2-2-2 Iida-nishi, Yamagata

TEL

023-628-5309

Email

hihaga@med.id.yamagata-u.ac.jp


Public contact

Name of contact person

1st name Keita
Middle name
Last name Maki

Organization

Yamagata University

Division name

Department of Gastroenterology

Zip code

990-9585

Address

2-2-2 Iida-nishi, Yamagata

TEL

023-628-5309

Homepage URL


Email

k-maki@med.id.yamagata-u.ac.jp


Sponsor or person

Institute

Yamagata University

Institute

Department

Personal name

Hiroaki Haga


Funding Source

Organization

Yamagata University

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Yamagata University

Address

2-2-2 Iida-nishi, Yamagata

Tel

023-628-5309

Email

hihaga@med.id.yamagata-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW

山形県


Institutions

Institutions

山形大学医学部附属病院(山形県)、獨協医科大学病院(栃木県)、福島県立医科大学附属病院(福島県)、東北大学病院(宮城県)、弘前大学医学部附属病院(青森県)、秋田大学医学部附属病院(秋田県)、岩手医科大学附属病院(岩手県)、山形県立新庄病院(山形県)、総合南東北病院(福島県)、福島県立医科大学会津医療センター(福島県)


Other administrative information

Date of disclosure of the study information

2026 Year 04 Month 14 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2025 Year 12 Month 17 Day

Date of IRB

2026 Year 02 Month 17 Day

Anticipated trial start date

2026 Year 02 Month 17 Day

Last follow-up date

2027 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This study is a multicenter retrospective observational study, and no additional intervention will be performed as part of the study. To clarify the clinical characteristics and hemodynamic features of pipeline esophageal varices, which is a rare condition, cases will be collected and analyzed from multiple institutions. Conventional esophageal varices cases at Yamagata University Hospital will be used as the control group. Informed consent will be obtained using an opt-out procedure.


Management information

Registered date

2026 Year 04 Month 14 Day

Last modified on

2026 Year 04 Month 14 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000070093